摘要
围产期心肌病(peripartum cardiomyopathy,PPCM)多在产后早期发病,尤其是产后1个月内。然而,近年发现部分发病较早或者稍迟的妊娠相关心肌病完全符合PPCM的特点。本院重症医学科2022年2月急诊收治1例PPCM患者。患者入院后血流动力学极不稳定,反复发生心室颤动。在体外膜肺氧合(extracorporeal membrane oxygenation,ECMO)治疗基础上,给予强心剂、药物抑制心室电风暴等综合治疗,患者的心脏结构和功能逐渐改善和恢复。发病第7日顺利撤除ECMO,继续治疗,痊愈出院。尽早识别并积极干预治疗是改善PPCM患者预后、避免心脏结构发生不可逆性改变的关键。
Peripartum cardiomyopathy(PPCM)often develops in the early postpartum period,especially within one month after delivery.However,in recent years,some cases of pregnancy-related cardiomyopathy with earlier or slightly later onset showed similar features with PPCM entirely.One patient with PPCM was admitted to the Department of Intensive Care Medicine of the First Affiliated Hospital of Bengbu Medical College on February 2022.After admission,the patient was exceptionally hemodynamically unstable and had repeated ventricular fibrillation.Apart from extracorporeal membrane oxygenation(ECMO)support,comprehensive treatment with cardiotonic agents and drugs to inhibit the"ventricular electric storm"was given.The cardiac structure and function were gradually improved.ECMO was successfully withdrawn on the 7th day after the onset of symptoms,and the patient was discharged after a full recovery.Early diagnosis and active intervention are the keys to improve the prognosis of patients with PPCM and avoid irreversible changes in cardiac structure.
作者
顿士娟
路坤
汪华学
Dun Shijuan;Lu Kun;Wang Huaxue(Department of Critical Care Medicine,the First Affiliated Hospital of Bengbu Medical College,Bengbu 233000,China)
出处
《中华围产医学杂志》
CAS
CSCD
北大核心
2022年第12期954-957,共4页
Chinese Journal of Perinatal Medicine
基金
蚌埠医学院自然科学重点项目(2021byzd154)。
关键词
心肌疾病
心室颤动
围产期
体外膜氧合作用
Cardiomyopathies
Ventricular fibrillation
Peripartum period
Extracorporeal membrane oxygenation
